Abstract
Genitourinary tuberculosis remains a disease that has significant consequences. Due to its regional preponderance, knowledge and suspicion is key to early diagnosis in patients living in the western hemisphere. The present overview highlights varied presentation of genitourinary tuberculosis and its current treatmentmodalities. It provides review of minimally invasive techniques that have reduced the morbidity of surgical therapy in these patients. Disease remains lethal in immune compromised patients and in those withmulti-drug resistant tuberculosis.